Posts Tagged ‘heath insurance’

Many Important Health Care Reform Changes for Young Adults

Thursday, June 17th, 2010

While many young adults faced losing coverage as they aged off their parent’s plan, had no coverage in the case of an unexpected pregnancy, or merely had the bare necessities covered by their school plans, all can breathe a sigh of relief as health care reform promises to end their fears.

As mentioned in earlier posts, the most immediate change is coverage will be extended to overage dependents, as long as they are not offered other employer sponsored coverage, up through their 26th birthday. This helps ease the burden of uninsured claims, as many of these adult children would wait over two years before attempting to obtain their own coverage.

Another helpful option for these previously uninsured individuals is the fact that more than half of them will be eligible for either Medicaid in 2014, as their income is expected to be less than 133% or qualify for government subsidies if they decide to purchase private insurance through an exchange if they are earning 400% of the poverty level.

More relief serves in the fact that maternity coverage will be a mandatory inclusion on the plans, something that is either excluded completely or greatly restricted, depending on what state you reside in. This is most important during young adulthood, as is the need for access to contraceptives, which will also be covered.

The fact that lifetime maximums will be eliminated also sheds light on the current state of most university based plans. Many tend to cover only the most basic of health needs, and offer only limited protection for conditions that are considered eligible medical expenses. With the implementation of comprehensive coverage for all adult children, in spite of of any pre-existing conditions, we can breathe easy that coverage is in place should they need it. Regardless of how you feel about health care reform, we can all agree that all youths of our nation deserve health care coverage!

Insurers to Offer Overage Dependents Coverage Earlier Than Anticipated

Tuesday, May 4th, 2010

As planned during six months following the signing of the health care reform bill, coverage will be extended for dependents up to the age of 26. This will allow parents to continue to offer health insurance coverage to their dependent children, even if those children do not live in the same household. This also holds true for young adults under 26 living out of state, and those that are married. Basically, unless they are offered employer sponsored health insurance, they can continue to remain on their parent’s coverage.  

The deadline to implement this extension of coverage is September 23rd, 2010. However, numerous insurance carriers have decided to offer the coverage much sooner than that. CIGNA, Humana, United Healthcare, and Kaiser are a few that are increasing the dependent age limit as soon as June 1st. You can check with your carrier, or with us, to determine how your eligible dependents maintain coverage on your current plan. Regardless of whether a plan decides to implement this change ahead of schedule, health care reform will ultimately bring changes to all plans.

64? Let’s Talk About Medicare

Tuesday, March 9th, 2010

  You would be surprised to hear how many Medicare eligible clients do not understand how Medicare actually works. With an aging population, and enrollees at the highest levels to date (expected to increase dramatically with the baby boomers entering the system starting in 2011), it is most important to know the ins and outs of the system to ensure coverage in place when you need it.  

People age 65 or older are entitled to Medicare Part A (hospital coverage) if they or their spouse are eligible for Social Security payments and have made payroll tax contributions for 10 or more years. Medicare coverage was also expanded to offer coverage for clients under the age of 65 if they have permanent disabilities.  

Medicare Part B (physician services) is primarily funded by monthly premiums, adjusted accordingly by your modified adjusted gross income. If you get benefits from Social Security or the Railroad Retirement Board (RRB), in most cases, you will automatically get Part B starting the first day of the month you turn age 65. If you don’t want Part B, make sure to return the card to Medicare, per instructions. If you keep the card, you keep Part B and will pay Part B premiums. Note – if you don’t sign up for Part B when you are first eligible, you may have to pay a late enrollment fee.  

Part D will offer you prescription drug coverage. If you choose Original Medicare (as opposed to a Medicare Advantage plan – Part C) and you want drug coverage, you must join a Medicare Prescription Drug Plan. Keep in mind that under Part B, you pay 100% for most prescription drugs, unless you have Part D or other drug coverage.  

Please feel free to contact us with any questions, or to discuss your Medicare Supplement needs.

Anthem Blue Cross PPO Share Plan Changes

Monday, November 16th, 2009

Anthem Blue Cross has discontinued some of their PPO Share (maternity) plans in California, and although you may keep your current coverage, you may find the rates higher than you anticipated. In this case, new plans have been designed to offer comparable coverage with lower premiums. For instance, those individuals and families on the PPO Share 2500 or 1500 may want to consider moving to a less expensive plan, such as the PPO Share 3500. These plans will balance the escalating costs of maternity coverage with higher deductibles and out of pocket maximums. You will still have the comfort of knowing that your coverage is in place should you need it, and continue using your current doctors and hospitals. Also, moving to a new plan will not always require medical review, making the process even easier.
 

As your agent, we also suggest reviewing options for those family members who do not need maternity coverage, and consider separate plans for your family members. You’ll find that this can often reduce your overall premiums, as you are no longer paying for coverage you don’t need.

No Premium Increases for Medicare Part B in 2010

Monday, September 28th, 2009
For the 42 million seniors and people with disabilities who are currently enrolled in Medicare Part B, a recent vote has ensured that there will be no premium increase for Part B. The standard premium is currently $96.40; slightly higher for those with incomes over $85,000 for individuals or $170,000 for couples. This premium is calculated annually to cover around 25% of the Medicare program. For 2010, this would mean the premiums would be at about $103 (and up!) per month. However, there is a “hold harmless” policy which eliminates this rate hike, by utilizing $2.8 billion from a 2008 fund to improve Medicare.
 
Due to the economic recession, Social Security’s cost-of-living adjustment is expected to be zero, and therefore the checks will not increase. Therefore, if the Part B premium increase is projected to be more than the increase in Social Security, most current Medicare enrollees are ensured no premium hikes. As with any law, however, there are loopholes and if Congress did not step in, there would have been some enrollees who would have not fallen under the hold harmless policy (i.e. new Medicare enrollments, and those whose premiums are not deducted from the Social Security checks). With the implementation of this act, all Medicare enrollees will be spared any rate increases for their Part B premiums.

Gender Based Rating and Health Care Reform

Tuesday, June 16th, 2009

These days, everyone seems to be ready for change. The idea of national health care, coverage for all people (regardless of pre-existing conditions), and the end of gender based rating, is top priority.
 
One of the biggest issues these days is the fact that men and women are charged different amount for the same plans, at the same age, regardless of health history. Insurance companies defend this disparity by the fact that women tend to utilize health services more frequently than men, especially during their child bearing years. Therefore, instead of being rewarded for taking on a proactive role with their health care, they are penalized by 25% to 50% higher rates than their male counterparts.
 
With greater government regulation, it is thought that gender differentiation will be a thing of the past. As an effort to keep health insurance out of the hands of the government, and become more user friendly, insurance carriers will need to find ways to be easier on those seeking their own plans, or the millions of currently uninsured individuals nationwide.

California, the Stimulus Package, and You

Wednesday, May 13th, 2009

We have all heard by now that the American Recovery and Reinvestment Act of 2009, also known as the Stimulus Package should bring some much needed relief to the State of California. As the unemployment rate jumps to historic highs, and millions of Californians find themselves also without health insurance, it is vital that federal agencies step up to the plate. The goal is to obtain health coverage assistance, increase the quality of health care, and invest in health-related technologies.

So what does this mean for us? According to American Recovery and Reinvestment Act analysis, some of the major health care provisions are:

··         Medi-Cal support, including increases in federal matching payments, increased Disproportionate Share Hospital funding, a moratorium on federal Medicaid provider reimbursement changes, and extension of Transitional Medi-Cal and Indian health care programs

··         Assistance with health coverage, including subsidies for and extensions of COBRA coverage and expansion of the federal Health Care Tax Credit

··         Investments in primary care, including grant opportunities, enhanced reimbursement for community health centers, and additional support for primary health care workforce programs

··         Elevated status for comparative effectiveness research, including establishment of a federal advisory board and dedication of substantial funding.

··         Support for public health activities, health and science research and facility modernization, and health information technology, including telehealth and broadband programs.
 
We are always on top of current insurance news so we can ensure you are informed. Please call us with any questions or send an email with your comments. Thanks for your continued support!

Online Quoting Makes it Easy

Tuesday, April 28th, 2009

Insuresaver.com’s online access to insurance quotes, is an easy way to research and purchase health insurance coverage.

Our simple quoting system offers quick, easy, and convenient ways to buy health insurance coverage from the comfort of your own home.

Our agents are also available to talk to you about any of the plans you see on our website. Whether you are shopping for the first time, or researching alternate options, call our office today and we will be happy to answer any questions you have.

There is no fee to utilize the services that an agent provides, and you are better able to establish a close working relationship with one person – rather than calling in to an 800 number when you need help. Our agents are always happy to help!

Because we have been doing this for over 30 years, we have also established great contacts with our insurance carriers. In turn, we are able to assist you with all of your health insurance needs, including underwriting, membership, and claim issues. Let our agency help you find the best coverage out there.


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